Exclusively Aligned definition

Exclusively Aligned means a D-SNP enrolling only full benefit Dual-Eligible Beneficiaries who are also enrolled in an Integrated Medicaid Product offered by SDOH, including but not limited to Medicaid Advantage Plus (“MAP”), that is offered by the Medicare Advantage Organization, its parent organization (directly or indirectly), or another entity owned and controlled by its parent organization.
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Examples of Exclusively Aligned in a sentence

  • ISP SubmissionWithin seven working days following the successful evaluation of an ISP, the student shall submit a bound copy of their ISP to the Department.

  • The counties within an Exclusively Aligned D-SNP’s Service Area shall be aligned with the service area of its Integrated Medicaid Product.

  • Health Plan’s Exclusively Aligned HIDE D-SNP shall implement a unified grievance and appeal system and process grievances and appeals in compliance with the terms of 42 CFR §§ 422.629 – 634, 438.210, 438.400 & 438.402.

  • No member may sell more than five items at a single meeting, unless otherwise approved in advance of the meeting by the Vice President.

  • One Care Plans and SCO Plans in Massachusetts must meet Massachusetts state and federal requirements to qualify as an Exclusively Aligned Fully Integrated Dual Eligible Special Needs Plan (Exclusively Aligned FIDE SNP), a specialized type of Medicare Advantage Plan that meets criteria for the highest level of integration for serving Dual Eligible individuals.

  • They all work together to provide the care you need.L.A. Care Medicare Plus is a Medicare Medi-Cal Plan (MMP or Medi-Medi plan), which is an Exclusively Aligned Enrollment Dual Eligible Special Needs Plan offered by L.A. Care Health Plan.L.A. Care Health Plan is a public entity whose official name is the Local Initiative Health Authority for Los Angeles County.

  • MCO understands that this designation as a Highly Integrated D-SNP (HIDE SNP) includes that its integrated SNP enrollment will be Exclusively Aligned, and agrees to align administrative systems including beneficiary communication materials, enrollment, communications, grievances and appeals processes, and quality improvement, to improve efficiency and beneficiary experience.

  • In late 2021, MMPs reported increases in disenrollment attributed to enrollee misunderstanding about the end of Cal MediConnect and the transition to Exclusively Aligned Enrollment Dual Special Needs Plans (EAE D-SNPs).

  • By consequence, only 15% of the outcomes were congruent along the line (Exclusively Aligned, Exclusively Consistent) on the total sample.The large consistency in the Unaligned category is due to the congruency between role competence and job role.

  • Comparison between level of alignment and level of consistency ConsistentInconsistent Whereas the difference between Aligned and Unaligned categories was rather small, the majority of the students choose a job vacancy consistent with the role preference or role competence (87%, N=47).A more detailed analysis of the Aligned students indicated that 8 of the 13 Exclusively Aligned could also be categorized as Exclusively Consistent, 2 as Inclusively Consistent, 3 as Inconsistent.

Related to Exclusively Aligned

  • Stinger-steered automobile or watercraft transporter means an automobile or watercraft transporter

  • Grocery store means any retail establishment, the business of which consists of the sale of food, food products, or beverages for consumption off the premises.

  • Effectively owned or controlled means that a foreign government or any entity controlled by a foreign government has the power, either directly or indirectly, whether exercised or exercisable, to control the election, appointment, or tenure of the Offeror's officers or a majority of the Offeror's board of directors by any means, e.g., ownership, contract, or operation of law (or equivalent power for unincorporated organizations).

  • Nursery stock means all domesticated or wild botanically classified hardy perennial or biennial trees, shrubs, vines, and other plants; cuttings, grafts, scions, buds, bulbs, rhizomes, or roots of any of these; and fruit pits. Nursery stock includes plants and plant parts for, or capable of, propagation, excepting field, vegetable, and flower seeds, corms, and tubers.

  • Female owned business means a business concern which is at least 51% owned by one or more women, or, in the case of a corporation, at least 51% of the stock in which is owned by one or more women; and the management and daily business operations of which are controlled by one or more of the women who own it.

  • CAFRA Centers, Cores or Nodes means those areas with boundaries incorporated by reference or revised by the Department in accordance with N.J.A.C. 7:7-13.16.

  • Constructively Owned shall have the correlative meanings.

  • Common Channel Signaling (“CCS”) is a method of digitally transmitting call set-up and network control data over a digital signaling network fully separate from the public switched telephone network that carries the actual call.

  • Established business relationship means a relationship between a seller and a consumer based on:

  • Younger-generation substitute gift means the substitute gift created with respect to the younger-generation future interest.

  • Extremely low-income household means a single person,

  • Established geographic service area means a geographic area, as approved by the Commissioner and based on the carrier's certificate of authority to transact insurance in this state, within which the carrier is authorized to provide coverage;

  • Retail marijuana store means an entity licensed to purchase Retail Marijuana from a Retail Marijuana Cultivation Facility and to purchase Retail Marijuana Product from a Retail Marijuana Products Manufacturing Facility and to sell Retail Marijuana and Retail Marijuana Product to consumers.

  • Automobile or watercraft transporters means any tractor truck, lowboy, vehicle, or combination,

  • Automotive hard paste wax means an automotive wax or polish that is:

  • Outdoor burning means open burning or burning in an outdoor wood-fired furnace.

  • Retail Store – means any business facility that sells goods directly to the consumer whether for or not-for-profit, including, but not limited to, retail stores, restaurants, pharmacies, convenience and grocery stores, liquor stores, as well as seasonal and temporary businesses.

  • Area of shallow flooding means a designated AO or AH Zone on a community's Flood Insurance Rate Map (FIRM) with one percent or greater annual chance of flooding to an average depth of one to three feet where a clearly defined channel does not exist, where the path of flooding is unpredictable and indeterminate; and where velocity flow may be evident. Such flooding is characterized by ponding or sheet flow.

  • Combination carrier means a ship designed to carry either oil or solid cargoes in bulk.

  • Common Channel Signaling (CCS means an out-of-band, packet-switched, signaling network used to transport supervision signals, control signals, and data messages. It is a special network, fully separate from the transmission path of the public switched network. Unless otherwise agreed by the Parties, the CCS protocol used by the Parties shall be SS7.

  • Generating Unit means one or more generating equipment combinations typically consisting of prime mover(s), electric generator(s), electric transformer(s), steam generator(s) and air emission control devices.

  • Mobile food unit means a vehicle-mounted food service establishment designed to be readily movable.

  • Mixed beverage or "mixed alcoholic beverage" means a drink composed in whole or in part of

  • Brands means the Sprint PCS Brands and the Sprint Brands.

  • Anatomical gift means a donation of all or part of a human body to take effect after the donor's death for the purpose of transplantation, therapy, research, or education.

  • Automotive Wax, Polish, Sealant or Glaze means a product designed to seal out moisture, increase gloss, or otherwise enhance a motor vehicle’s painted surfaces. “Automotive Wax, Polish, Sealant or Glaze” includes, but is not limited to, products designed for use in autobody repair shops and “drive-through” car washes, as well as products designed for the general public. “Automotive Wax, Polish, Sealant or Glaze” does not include “Automotive Rubbing or Polishing Compounds”, automotive wash and wax products, surfactant-containing car wash products, and products designed for use on unpainted surfaces such as bare metal, chrome, glass, or plastic.